=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427325927
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MONLIN HOLDINGS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2011
-----------------------------------------------------
Last Update Date | 03/28/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3109 CLEARPOINT DR
-----------------------------------------------------
City | FLOWER MOUND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75022-1024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-925-4184
-----------------------------------------------------
Fax | 972-874-2067
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 930 RUSH CREEK RD
-----------------------------------------------------
City | KELLER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76248-3247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-925-4184
-----------------------------------------------------
Fax | 972-236-0016
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JOY PARRISH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-925-4184
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------